单波长绿激光治疗糖尿病视网膜病变的效果研究(1)
摘要：目的 研究单波长绿激光治疗糖尿病视网膜病变的临床效果。方法 从本院2015年3月～2016年3月收治的糖尿病视网膜病变患者中选取60例作为研究对象，随机分为观察组(30例)及对照组(30例)。采用常规+单波长绿激光方法治疗观察组，采用常规方法治疗对照组，对两组治疗后糖尿病视网膜病变发生情况、视力变化情况及症状(视物模糊和双目干涩)积分进行比较。结果 经治疗，观察组糖尿病视网膜病变情况优于对照组，两组差异具有统计学意义(P<0.05)；观察组视力改善情况优于对照组，两组差异具有统计学意义(P<0.05)；观察组各症状积分均比对照组低，两组差异具有统计学意义(P<0.05)。结论 糖尿病视网膜病变采用单波长绿激光疗法，可改善患者视力、降低患者视物模糊和双目干澀症状发生率、提高患者生活质量。该种治疗手段能够有效控制糖尿病视网膜病情，且便于操作、具备很高的安全性。
关键词：单波长绿激光；治疗；糖尿病视网膜病变；效果
Abstract：Objective To study the clinical effect of single wavelength long green laser in the treatment of diabetic retinopathy.Methods Sixty patients with diabetic retinopathy from March 2015 to March 2016 were randomly divided into observation group (30 cases) and control group (30 cases).The treatment group was treated with conventional+single-wavelength green laser method.The control group was treated with conventional method.The incidence of diabetic retinopathy， visual changes and symptoms(blurred vision and binocular dryness)were compared between the two groups.Results Compared with the control group，the difference was statistically significant(P<0.05).The visual acuity improved in the observation group was better than that in the control group，the difference was statistically significant(P<0.05).The symptom scores of the observation group were lower than those of the control group，the difference was statistically significant(P<0.05).Conclusion Single-wavelength green laser therapy can improve the visual acuity of patients with diabetic retinopathy，reduce the incidence of blurred vision and binocular dryness and improve the quality of life of patients with diabetic retinopathy.The treatment can effectively control the diabetic retinopathy，and easy to operate，with high security.
, http://www.100md.com
Key words：Single wavelength green laser；Treatment；Diabetic retinopathy；Effect
糖尿病视网膜病变属于糖尿病并发症之一，极有可能导致患者失明[1]。如果患者未及时到医院接受治疗，则病情会恶化，对视力及生活质量具有严重的负面影响[2]。目前糖尿病视网膜病变我院临床治疗除了采用常规疗法，又引入单波长绿激光光凝疗法。为进一步研究和分析单波长绿激光治疗糖尿病视网膜病变的效果，本文收集我院2015年3月～2016年3月收治的糖尿病视网膜病变患者中选取60例糖尿病视网膜病变患者为案例，对单波长绿激光治疗效果进行了深入探讨。现就相关内容报告如下。
1 资料与方法
1.1一般资料 经本院诊治糖尿病视网膜病变患者共60例，采用随机方式均分为两组(观察组及对照组各30例)。观察组男17例、女13例，年龄35～83岁，平均年龄为(56.0±11.0)岁，视力4.1～4.5，平均视力(4.3±0.1)；对照组中男16例、女14例，年龄34～82岁，平均年龄为(55.9±10.9)岁，视力4.0～4.3，平均视力(4.2±0.3)。两组患者一般资料(性别、年龄、病情等)没有显著差异，无统计学意义(P>0.05)，可进行对比。
1.2方法 给予对照组患者降血糖、控制饮食量、降血脂等常规内科治疗；给予观察组患者常规(与对照组相同)+单波长绿激光治疗，具体操作如下：充分考虑糖尿病视网膜病变实际情况(病变部位、病变性质等)，使用多波长氪离子激光治疗仪(生产企业：美国Coherent公司NovusOmni)，将光斑控制在50～1000 μm，将能量控制在50～1000 mW，全视网光凝患者。, 百拇医药(李慧)
关键词：单波长绿激光；治疗；糖尿病视网膜病变；效果
Abstract：Objective To study the clinical effect of single wavelength long green laser in the treatment of diabetic retinopathy.Methods Sixty patients with diabetic retinopathy from March 2015 to March 2016 were randomly divided into observation group (30 cases) and control group (30 cases).The treatment group was treated with conventional+single-wavelength green laser method.The control group was treated with conventional method.The incidence of diabetic retinopathy， visual changes and symptoms(blurred vision and binocular dryness)were compared between the two groups.Results Compared with the control group，the difference was statistically significant(P<0.05).The visual acuity improved in the observation group was better than that in the control group，the difference was statistically significant(P<0.05).The symptom scores of the observation group were lower than those of the control group，the difference was statistically significant(P<0.05).Conclusion Single-wavelength green laser therapy can improve the visual acuity of patients with diabetic retinopathy，reduce the incidence of blurred vision and binocular dryness and improve the quality of life of patients with diabetic retinopathy.The treatment can effectively control the diabetic retinopathy，and easy to operate，with high security.
, http://www.100md.com
Key words：Single wavelength green laser；Treatment；Diabetic retinopathy；Effect
糖尿病视网膜病变属于糖尿病并发症之一，极有可能导致患者失明[1]。如果患者未及时到医院接受治疗，则病情会恶化，对视力及生活质量具有严重的负面影响[2]。目前糖尿病视网膜病变我院临床治疗除了采用常规疗法，又引入单波长绿激光光凝疗法。为进一步研究和分析单波长绿激光治疗糖尿病视网膜病变的效果，本文收集我院2015年3月～2016年3月收治的糖尿病视网膜病变患者中选取60例糖尿病视网膜病变患者为案例，对单波长绿激光治疗效果进行了深入探讨。现就相关内容报告如下。
1 资料与方法
1.1一般资料 经本院诊治糖尿病视网膜病变患者共60例，采用随机方式均分为两组(观察组及对照组各30例)。观察组男17例、女13例，年龄35～83岁，平均年龄为(56.0±11.0)岁，视力4.1～4.5，平均视力(4.3±0.1)；对照组中男16例、女14例，年龄34～82岁，平均年龄为(55.9±10.9)岁，视力4.0～4.3，平均视力(4.2±0.3)。两组患者一般资料(性别、年龄、病情等)没有显著差异，无统计学意义(P>0.05)，可进行对比。
1.2方法 给予对照组患者降血糖、控制饮食量、降血脂等常规内科治疗；给予观察组患者常规(与对照组相同)+单波长绿激光治疗，具体操作如下：充分考虑糖尿病视网膜病变实际情况(病变部位、病变性质等)，使用多波长氪离子激光治疗仪(生产企业：美国Coherent公司NovusOmni)，将光斑控制在50～1000 μm，将能量控制在50～1000 mW，全视网光凝患者。, 百拇医药(李慧)
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